| NPI | 1306534680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166.001731) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 137331) |
| Enumeration Date | 2023-04-25 |
| Last Update Date | 2024-12-10 |